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Mechanical thrombectomy in ischemic stroke: Parameters affecting the TICI Outcome
Clinical Hemorheology and Microcirculation ( IF 2.1 ) Pub Date : 2021-08-19 , DOI: 10.3233/ch-219107
Carolina Rio Bartulos 1 , Dennis Lier 1 , Harald Sahl 1 , Mazen Abu-Mugheisib 2 , Annette Spreer 2 , Philipp Wiggermann 1
Affiliation  

BACKGROUND:Mechanical thrombectomy (MT) is a standard stroke treatment for patients with large vessel occlusions (LVOs). A decisive factor for a successful outcome is, among other things, timely treatment. OBJECTIVE:The objective was to analyze several time points in relation to outcomes and/or surrogate parameters. Furthermore, our data was placed in the context of other clinical trial data. METHODS:We retrospectively evaluated 133 data sets from patients who underwent MT. The correlation of various time periods with parameters, such as the ASPECTS, NIHSS, mRS, and, particularly, the TICI score, was investigated. RESULTS:A correlation was found for both the NIHSS score at discharge and the TICI score with the time periods of arrival and/or start to groin puncture as well as with arrival to the end of the intervention and the duration of the intervention. CONCLUSIONS:This retrospective study is consistent with large randomized clinical trials investigating stroke management and provides data from daily clinical practice.

中文翻译:

缺血性卒中的机械取栓:影响 TICI 结果的参数

背景:机械取栓 (MT) 是大血管闭塞 (LVO) 患者的标准卒中治疗方法。除其他外,取得成功结果的决定性因素是及时治疗。目的:目的是分析与结果和/或替代参数相关的几个时间点。此外,我们的数据被置于其他临床试验数据的背景下。方法:我们回顾性评估了来自接受 MT 的患者的 133 个数据集。研究了不同时间段与参数的相关性,例如 ASPECTS、NIHSS、mRS,尤其是 TICI 评分。结果:发现出院时 NIHSS 评分和 TICI 评分与到达和/或开始腹股沟穿刺的时间段以及到达干预结束和干预持续时间之间存在相关性。结论:这项回顾性研究与调查卒中管理的大型随机临床试验一致,并提供来自日常临床实践的数据。
更新日期:2021-08-20
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